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. 2022 Apr 7;2022(4):CD007216. doi: 10.1002/14651858.CD007216.pub2

NCT00347048.

Methods Study design: randomised, parallel‐group trial
Quadruple blinding (participant, care provider, investigator, outcomes assessor)
Settings: multicentre in Japan
Study period: September 2006 to April 2008
Participants Inclusion criteria: moderate‐to‐severe refractory UC; disease activity: > 4 stools a day, bloody stool, moderate‐to‐severe endoscopic finding; steroid resistance or dependence to meet ≥ 1 of the following condition: no efficacy with > 40 mg/day or 1 mg/kg/day of steroid over ≥ 1 week, no efficacy with 30–40 mg/day of steroid over ≥ 2 weeks, exacerbation along with steroid reduction; age 16–64 years.
Exclusion criteria: mild/fulminant UC; hepatic or renal (or both) failure (people receiving 6‐mercaptopurine, cyclosporin or other immunosuppressants within 12 weeks prior to screening); received leukocytapheresis or granulocytapheresis within 2 weeks prior to entry; receiving steroids or started new dose of steroids < 2 weeks before enrolment; changed the dose of steroid or started steroid within 1 week prior to entry in case they received > 40 mg/day or 1 mg/kg/day of steroid just before the study.
67 participants
Disease activity: NR
Disease duration: NR
Extent of disease: NR
Age: 16–64 years
Sex (M/F): NR
Concurrent therapies: NR
Number enrolled: NR
Number randomised: NR
Number reaching end of study: NR
Interventions IG: tacrolimus
CG: placebo
Outcomes Primary outcome: improvement of DAI score
Duration: 2 weeks
Secondary outcomes:
Changes of DAI score in total and in each component
Change in clinical severity and symptoms
Endoscopic findings
Participant's impression
Requirement of steroid
Duration: 2 weeks
Length of intervention and follow‐up points: 12 weeks
Definition of remission or clinical improvement by study authors: NR
Number of participants who achieved remission: NR
Number of participants who achieved clinical improvement: NR
Time to onset of action for tacrolimus from beginning of study: NR
Number of participants who required other rescue medication: NR
Time to other rescue medication from beginning of study: NR
Number of participants who underwent surgery: NR
Time to surgery from beginning of study: NR
Adverse events: NR
Withdrawal due to adverse events: NR
Serious adverse events: NR
Time to adverse events from beginning of study: NR
Notes No email address on trials webpage or on the responsible party (Astellas Pharma Inc), only telephone number provided.

CG: control group; DAI: Disease Activity Index; F: female; IG: intervention group; M: male; NR: not reported; RCT: randomised controlled trial; UC: ulcerative colitis.